Administrative Coordinator – NEMT, Insurance & Medical Billing

About the Role:
We are seeking a highly organized and detail-oriented Administrative Coordinator with a strong background in the Non-Emergency Medical Transportation (NEMT) industry, insurance coordination, and medical billing and coding. This individual will play a key role in ensuring our transportation services align with payer requirements, broker expectations, and industry compliance standards.

Key Responsibilities:

• Coordinate and manage daily administrative operations related to NEMT services.
• Work directly with insurance brokers and payers for eligibility verification, pre-authorizations, and policy alignment.
• Manage and submit medical transportation claims for Medicaid/Medicare and private insurers.
• Handle billing, coding, and documentation to ensure accurate and timely reimbursements.
• Support credentialing, contract management, and affiliation processes with NEMT brokers (e.g., ModivCare, MTM).
• Track and resolve denied claims, resubmissions, and follow-ups.
• Maintain driver and patient records with a high level of confidentiality and HIPAA compliance.
• Assist with audits, reports, and compliance documentation.
• Communicate effectively with fleet operators, drivers, healthcare providers, and patients.

Qualifications:

• 2+ years of administrative experience in the NEMT, insurance, or healthcare billing field
• Familiarity with NEMT brokers such as ModivCare, MTM, Access2Care, etc.
• Working knowledge of medical billing software, HCPCS/CPT coding, and claims submission portals.
• Strong understanding of Medicaid and Medicare transportation billing guidelines.
• Experience working with insurance brokers and/or third-party administrators.
• Excellent written and verbal communication skills.
• Strong organizational skills with attention to detail and the ability to multitask.
• Proficient in Microsoft Office Suite and/or Google Workspace.

Preferred Qualifications (Not Required):

• Certification in Medical Billing & Coding (CPC, CMRS, or equivalent).
• Prior experience with NEMT dispatch platforms or ride management systems.
• Experience with transportation licensing or DOT compliance.